A Quick Insight to Self Treatment | Modern Manual Therapy Blog

A Quick Insight to Self Treatment

I actually drove 6 hours to my buddy's house the day before we both drove to Quebec City for IFOMPT. After sitting for 2-3 hours in the car, despite stops every 1.5 hours (like I tell my patients), my right posterior thigh has a painful pressure and paraesthesia.

Normally I do repeated extension in standing at rest stops, dynamic neurodynamic tensioners, bridges in the car, all of these things give me temporary relief at best. As a huge MDT advocate, I normally have excellent posture. After my first break at a rest stop, my Sx returned within twenty minutes. Here is how I got rid of them for the first time for the rest of the trip.

I took a very large diaphragmatic breath. So large, I felt my entire right lower quarter "stretch." This is normally my problem side, with a more restricted QL, psoas, hip, etc... After a few deep breaths, I tried a pelvic floor contraction and noticed some slight inhibition on my right. A few more deep breaths, and the stretching sensation eased a bit. My right ribs expanded better. I then reached under the bony contours of my right 12th inferior rib, and took several more deep breaths, so much I felt like my abdomen was about to explode. Pinning and stretching my diaphragm immediately released my right hip. The sensation of strong "stretch" was gone. I could feel my pelvic floor turn on as well. A TA contraction felt more even (normally I have to cue it a bit to get the right side to fire appropriately).

My hip Sx were gone, they didn't return for the remainder of the trip for the first time ever. They also never even started on the entire 8.5 hours on the drive to Quebec City.

I have cued diaphragmatic breathing before, but never to the point where using it as a stretch. If any of your patients have trouble with prolonged driving, or prolonged sitting. It's worth a try.

I'll be posting later on David Butler's Manual Therapy in a neuroplastic world from 8:00 am, his neurodynamic breakout, Rocabado's Sleep Apnea breakout on sleep apnea... I didn't even know he was here! And then covering the GMI breakout that lasts the entire afternoon from 1:30-5:00 EST.


  1. Love that pelvic floor was part of your thinking! That Diaphragm is powerful!! Nice work!

  2. How might this change the way you look at and treat people with similar presentations? Will you retest the individual with an instructed TA or pelvic floor contraction, or would you retest something else following FR/IASTM and diaphragm release? How does this fit into the MDT paradigm, or does it at all?
    Ben Swinehat

  3. I credit you and Charlie Weingroff for helping with this self treatment. I also rode back 7.5 hours to North of NYC then another 5.5 hours to Buffalo, NY the next day without any symptoms! The first time in years!

  4. I would most likely retest their ability to expand the abdomen, diaphragm, lateral and posterior rib cage, and try to instruct them on different pelvic and hip positions.

    It doesn't fit into the MDT paradigm, no repeated motion or position involved, but could be considered sustained.

  5. Experts of any treaments must need to love their expentions who don't know how to treat a desease...
    Scoliosis treatment